Reflex Marine FROG-XT6 - Examination Checklist Form

Rev 0.2 29 | P a g e
4.10 Examination Checklist Form
Frog XT6 Examination Checklist
Unit Serial Number
This Inspection Date
Inspected by
Usage Category
Last Visual
Inspection
Position/ Company
Installation / Vessel
Last Examination
Signature
Avg. No of Transfers / Year
Last Load Test
Original Inspection record filed in
Item
No
Description
Comment / Serial
No./ Colour Code
Pass /
Fail
Verified
By
1.
Wire Rope Lifting Assembly (Critical Part) (Consumable)
Replace the wire rope lifting assembly according to the usage of the FROG. This may be as
frequently as every 3 months. Irrespective of apparent condition the lifting assembly should be
replaced at least every 12 months.
2.
Load Plate Safety Bolts (Critical Part) (Consumable)
Remove and visually inspect the 4 safety bolts for any signs of damage or strain. Visually inspect the
4 holes in the 2 central columns for signs of damage or strain. Replace appropriate parts according
to the usage of the FROG XT or on the recommendation of a Competent Person / Inspector.
3.
Load Plate (Critical Part)
Remove and visually inspect the main Load plate for any signs of damage or strain. Replace on the
recommendation of a Competent Person / Inspector.
4.
Node Plate Safety Bolts (Critical Part) (Consumable)
Remove and visually inspect the 4 safety bolts for any signs of damage or strain. Visually inspect the
4 holes in the 2 central columns for signs of damage or strain. Replace appropriate parts according
to the usage of the FROG XT or on the recommendation of a Competent Person / Inspector.
5.
Node Plate (Critical Part)
Visually inspect the Node plate for any signs of damage or strain. Replace on the recommendation of
a Competent Person / Inspector.